P Praxis·MD
● Active Type 1 · Individual

Kylan Wilson, CERTIFIED PEDORTHIST

Orthotist·San Angelo, TX· NPI 1174934186 · Enumerated 2014 · 12 years on NPI
Wilson is 1 of 4 orthotist providers in San Angelo and 1 of 186 in Texas.
NPI age
12 years
Enumerated 2014-05-13
Primary specialty
Orthotist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-05-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 186 active orthotist providers in Texas.

NPI age
12 years
≈ at median (12 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
0
39% of peers hold subspecialties

NPI lifetime · 2014 → 2026

2014-05Enumerated in NPPES
2014 2026

Where they practice

Practice location
110 E Twohig Ave
San Angelo, TX 769035916
📞 3256581511fax 3254812166
Mailing address
Po Box 22000
San Angelo, TX 769027200
📞 3256581511fax 3254812166

Specialties

  • Orthotist Primary
    A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower...
    TX license #4075 taxonomy 222Z00000X

Identifiers

TypeValueNotes
01 (TX) CPED4075 CERTIFICATION

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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